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Credentialing Handbook April 2023 1
Credentialing Handbook April 2023 1
Professional Services
RCN Credentialing
for Advanced Level
Nursing Practice
Handbook for applicants
2 rcn.org.uk/credentialing
RCN
Credentialing
Contents
Introduction 4
Eligibility 4
Credentialing criteria 5
References 14
Appendix one:
RCN Advanced Level Nursing Practice Credential Application: clinical referee 15
3
Introduction
Nursing continues to evolve and modern nursing across the four pillars of: clinical practice,
practice has built on its traditional skills and leadership, education and research.
knowledge base to enable it to be responsive to
This is not about a job title; it is about recognising
society’s changing health care needs. The RCN,
the level of practice a nurse is working at.
as the United Kingdom’s professional body for
nursing, helps promote, support and further RCN Advanced Practice standards is
develop the profession and assists nurses to characterised by the following principles:
obtain the recognition they deserve. Â autonomous practice
approach – formal recognition for each nurse, Â high levels of decision-making and
their colleagues, employers and most importantly, problem-solving
patients and the public, of the advanced level  values-based care
of expertise and skill that nurses awarded this
 improving practice.
credential have achieved. This will be evidenced
Eligibility
Any nurse who works at an advanced level of There are many nurses who function at an
clinical practice, has non-medical prescribing ‘advanced’ level but may not be working in a
rights and has an active registration with the specifically clinical role. The RCN, and frameworks
NMC can apply. of the four countries of the UK, see advanced
practice as a level of practice rather than a role
Applications are open to members and
or title; as well as clinical practice, a practitioner
non-members of the RCN.
may be working in research, education or
Eligibility is linked solely to an applicant’s ability managerial/leadership roles. These four domains
to demonstrate that they meet our requirements are the pillars of advanced practice and all
for qualifications, experience and competence. advanced practice posts will contain some
The initial credential is for three years. elements of each pillar.
The definition of advanced practice set out Each of the pillars may be demonstrated in a
below, together with the advice provided, should variety of ways. With respect to research, for
help individuals to identify whether they meet example, practitioners may not have a formal
the requirements for the credential. research remit, but may demonstrate how
to identify research questions or implement
RCN definition of advanced practice: research in practice. Similarly, practitioners may
“ Advanced practice is a level of practice, rather manage staff, services or resources. Education
than a type of practice. Advanced Nurse can be a formal part of practice linked to a
Practitioners are educated at master’s level higher education institution (HEI) or it may be
in clinical practice and have been assessed less formal education in practice. However, for
as competent in practice using their expert advanced practice clinical roles the clinical pillar
clinical knowledge and skills. They have will always be the most prominent.
the freedom and authority to act, making
autonomous decisions in the assessment,
diagnosis and treatment of patients.”
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Fig 1. The four pillars can combine in different ways depending on how and where you practise.
Source: NHS Wales Advanced Practice Framework (2010). This stringent set of criteria will enable the
nursing profession to be better recognised for
excellent practice, endorse exceptional practice
Credentialing criteria and create a development route for those nurses
aspiring to work at an advanced level.
The RCN seeks to credential nurses who fulfil The RCN recognises that these requirements
the criteria for advanced level practice, to may exclude many nurses who currently adopt
recognise this level of practice, and to continue the title ANP/NP but are unable to meet the
to develop the profession. Therefore a set of requirements of the credential. We have therefore
criteria that represents the very best in advanced created pathways (models) to enable these nurses
level nursing practice has been developed: to demonstrate their expertise and equivalencies
for the criteria, or to acquire the additional skills
 a relevant master’s degree
and knowledge required.
 non-medical prescribing qualification
 experience and expertise mapped against The transitional pathways will be time limited,
the four pillars of advanced nursing practice for further detail please review the website
 a job plan that demonstrates current https://www.rcn.org.uk/Professional-
advanced level practice verified by a senior Development/Professional-services/
nurse/employer Credentialing.
 a clinical reference verifying the applicant’s
clinical competence
 evidence of continued professional
Clinical Examination.
5
Those nurses achieving the credential through You must ensure that your job plan gives a
the transitional pathway will NOT be required to detailed account of your daily work and not
achieve a full master’s degree following cessation a brief description. For example, “working in
of the transitional arrangements as they will be surgery” or “working on medical ward” is not
deemed to have already met the criteria for the sufficient. The job plan must be verified by a
credential. senior clinical lead or your employer. In either
case, the signatory must know your work and
The following pathways to credentialing (models agree to be contacted if required. For transitional
A-D) set out below will assist you in deciding pathways, you may need to supply two
whether you meet the requirements. If you referees’ names. A template can be found in the
do not have the required evidence you should not appendices. The reference and job plan must not
submit an application, as it is unlikely to be be signed by the same person.
successful and we are unable to refund your
The clinical referee should be from a job posting
application fee.
of over 12 months duration. If you have been at
You are advised to ensure your reference maps your job for less than this time you will require
against the four pillars of advanced practice and an additional clinical reference from your
is signed by a senior clinician. Templates for this previous employer.
purpose can be found in the appendices.
Please submit documentary evidence if your
name differs on transcripts or certificates.
If you need help understanding the requirements
or the acceptable forms of evidence for each, you
can contact us at credentialing@rcn.org.uk with
your questions.
6 rcn.org.uk/credentialing
Pathways to achieving the RCN Advanced Level
Nursing Credential
MODEL A: RCN Accredited MSc in Advanced Practice (or comparable e.g. nationally commissioned
Northern Irish, Scottish or Welsh Masters award)
7
MODEL B: Master’s degree in advanced practice, not accredited by the RCN
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MODEL C: Full masters with clinical focus (MA, MSc, MBA)
9
MODEL D: TRANSITIONAL CRITERIA UNTIL DECEMBER 2022– Demonstrating Masters Level experience
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Mapping to the Higher Education Qualifications
at level 7 (or level 11 on the Scottish Qualifications
Framework)
For those applicants who have not completed a  a comprehensive understanding of techniques
full master’s degree programme, you have the applicable to their own research or advanced
opportunity, for a transitional period only, to write scholarship
a 1,000-word reflective statement demonstrating  originality in the application of knowledge,
how you believe you meet the descriptors outlined together with a practical understanding of
below for Higher Education Qualifications at how established techniques of research and
level 7 (or level 11 on the Scottish Qualifications enquiry are used to create and interpret
Framework or, from April 2018, the apprenticeship knowledge in the discipline
model). Â conceptual understanding that enables the
We are particularly interested in how you student to:
demonstrate the following achievements: • critically evaluate current research and
 deal with complex issues both systematically advanced scholarship in the discipline
and creatively, make sound judgements in the • evaluate methodologies and develop
absence of complete data, and communicate critiques of them and, where appropriate,
your conclusions clearly to specialist and to propose new hypotheses.
non-specialist audiences
Typically, holders of the qualification will be
 demonstrate self-direction and originality
able to:
in tackling and solving problems, and act
 deal with complex issues both systematically
autonomously in planning and implementing
tasks at a professional or equivalent level and creatively, make sound judgements in the
absence of complete data, and communicate
 continue to advance your knowledge and
their conclusions clearly to specialist and
understanding, and to develop new skills to
non-specialist audiences
a high level
 demonstrate self-direction and originality
 have the qualities and transferable skills
in tackling and solving problems, and act
necessary for employment requiring:
autonomously in planning and implementing
• The exercise of initiative and personal
tasks at a professional or equivalent level
responsibility  continue to advance their knowledge and
• Decision-making in complex and
understanding, and to develop new skills to a
unpredictable situations high level.
• The independent learning ability
And holders will have the qualities and
required for continuing professional
transferable skills necessary for employment
development (CPD).
requiring:
 The exercise of initiative and personal
FOR INFORMATION
responsibility
Master’s degrees are awarded to students who  Decision making in complex and unpredictable
have demonstrated: situations
 a systematic understanding of knowledge, and  The independent learning ability necessary
a critical awareness of current problems and/or for continuing professional development.
new insights, much of which is at the forefront  The reflective piece needs to be referenced
of, or informed by, their academic discipline, and requires a bibliography.
field of study or area of professional practice
11
Renewing your credential
The initial credential period is three years. Â a statement to the effect that the ALNP is not
under investigation/disciplinary procedures
After this time, renewal is required for a further
from the NMC and/or their employer.
three years; there is a fee for renewal.
It is expected that the ALNP practises, at all
The RCN credentialing team will notify the
times, in accordance with the NMC Code (2015)
advanced level nurse by email one month before
and will notify the RCN credentialing team at
the credential is due to expire that they must
credentialing@rcn.org.uk
renew, so that their name can remain on
the database. The material submitted for the re-credential will
be scrutinised by an external assessor from the
In order to renew the credential for a further
RCN’s Approved List of Credentialing Assessors.
three years the ALNP will be required to produce
The assessor’s decision will be final.
the following:
 a current, detailed job plan signed by a senior Should the ALNP no longer meet the criteria for
clinician/employer who can verify that this a the credential, or if there is sound reason for
true reflection of the ALNP’s clinical practice doing so, the ALNP’s name will be removed from
in a typical week the database.
 a clinical reference signed by a different senior
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The assessment process
A STEP-BY-STEP GUIDE TO RCN CREDENTIALING
13
References Appeals and complaints
DHSSPS (2016) Advanced Nursing Practice If you are unsuccessful in your application
Framework, Supporting Advanced Nursing Practice for the RCN Advanced Level Nurse Credential,
in Health and Social Care Trusts. you may appeal within 14 days if you believe the
assessors have failed to assess your application
NHS Scotland Advanced Practice Toolkit
correctly. If you appeal, we will ask you to
www.advancedpractice.scot.nhs.uk
complete a “grounds for appeal form”
NLIAH & GIGC/NHSW (2016) Framework for (rcn.org.uk/contact/complaints-form).
Advanced Nursing, Midwifery and Allied Health
This, along with your original application, will be
Professional Practice in Wales.
considered by a new assessor, and moderated
RCN Standards for Advanced Level Nursing by a third assessor whose decision will be final.
Practice (2018) Complaints will be managed in accordance with
Northern Ireland Supporting Advanced Practice the RCN’s complaints policy.
in Health and Social Care (2014) rcn.org.uk/contact/rcn-customer-promise
Nursing and Midwifery Council (2018) The Code:
Standards of practice and behaviours for nurses
and midwives, London: NMC.
QAA (2018) The UK Quality Code for Higher
Education. Part A.
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Appendix one: Reference template
Advanced practice is a level of practice, rather than RCN standards for advanced practice are
a type of practice. Advanced Nurse Practitioners available here. This includes signposting to the
are educated at Masters Level in clinical practice four country frameworks.
and have been assessed as competent in practice
This clinical reference should evidence the
using their expert clinical knowledge and skills.
following:
They have the freedom and authority to act, making
autonomous decisions in the assessment, diagnosis • the four pillars of advanced practice
and treatment of patients. • autonomous practice
15
Applicant’s name NMC PIN:
Clinical: (please outline how the applicant works at an advanced level utilising the criteria in the
definition above)
Leadership: (Please describe how the applicant demonstrates the leadership role)
Facilitation of learning: (Please describe how the applicant is involved in the facilitation of learning,
e.g. teaching and training, supervision)
Evidence, research and development: (Please demonstrate how the applicant is involved in
evidence-based practice, research and practice development)
Signature
Designation
Date
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Appendix two: Example job plan
Please complete the table below showing your work for a typical week/ working pattern. The job
plan MUST reflect the four pillars of advanced level practice: Practice/Education/Management-
leadership/ Research-evidence -based practice. The work you do in relation to these pillars will vary
from day to day and in relation to the work you are doing, however, clinical practice needs to be the
main focus. For those with a portfolio of roles the job plan should reflect this and may need to be
wider (e.g. monthly/annually).
REFERENCES
RCN advanced practice standards
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Do you have any further comments you would like to make about your job plan?
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I confirm that this is a true reflection of my working pattern:
Name
Signature
(electronic
signature
acceptable)
Date
Verification:
By a line manager, clinical lead or senior colleague who understands the nature of your work.
I confirm that this is a true reflection of (insert above’s name) .....................................................................
working pattern.
Name
Signature
(electronic
signature
acceptable)
Designation
Date
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Appendix three: RCN Accredited Advanced Nurse
Practitioner (ANP) Programmes as at February 2020
Name of university Course title
Anglia Ruskin University MSc/PG Dip Advanced Practice (Clinical)
University of Bradford MSc/PG Dip Advanced Practice
City University London MSc ACP and MSc ACP(Apprenticeship) Programmes
University of Cumbria MSc Advanced Clinical Practice
University of Hertfordshire MSc Contemporary Nursing (Advanced Practice)
University of Huddersfield MSc Advanced Clinical Practice (ACP)
London South Bank University MSc Advanced Clinical Practice (Adult)
MSc Advanced Clinical Practice (Adult) Apprenticeship
MSc Advanced Clinical Practice (Child)
MSc Advanced Clinical Practice (Child) Apprenticeship
MSc Advanced Clinical Practice (Mental Health)
MSc Advanced Clinical Practice (Mental Health) Apprenticeship
University of Plymouth MSc Advanced Professional Practice (Clinical Practitioner)
Robert Gordon University, MSc Advancing Nursing Practice
Aberdeen
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Appendix four: Descriptor for a higher education
qualification at level 7
Master’s degrees are awarded to students who And holders will have:
have demonstrated: Â the qualities and transferable skills necessary
 a systematic understanding of knowledge, and for employment requiring:
a critical awareness of current problems and/or • the exercise of initiative and personal
new insights, much of which is at the forefront responsibility
of, or informed by, their academic discipline, • decision-making in complex and
field of study or area of professional practice
unpredictable situations
 a comprehensive understanding of techniques
• the independent learning ability necessary
applicable to their own research or
for continuing professional development.
advanced scholarship
 originality in the application of knowledge,
Much of the study undertaken for master’s
together with a practical understanding of degrees is at the forefront of, or informed by, an
how established techniques of research and academic or professional discipline. Successful
enquiry are used to create and interpret students show originality in the application
knowledge in the discipline of knowledge, and they understand how the
boundaries of knowledge are advanced through
 conceptual understanding that enables the
research. They are able to deal with complex
student to:
issues both systematically and creatively, and they
• critically evaluate current research and
show originality in tackling and solving problems.
advanced scholarship in the discipline They have the qualities needed for employment
• evaluate methodologies and develop in circumstances requiring sound judgement,
critiques of them and, where appropriate, personal responsibility and initiative in complex
to propose new hypotheses. and unpredictable professional environments.
Typically, holders of the qualification will be Master’s degrees are awarded after completion
able to: of taught courses, programmes of research
 deal with complex issues both systematically or a mixture of both. Longer, research-based
and creatively, make sound judgements in the programmes may lead to the degree of MPhil.
absence of complete data, and communicate The learning outcomes of most master’s degree
their conclusions clearly to specialist and courses are achieved on the basis of study
non-specialist audiences equivalent to at least one full-time calendar year
 demonstrate self-direction and originality
and are taken by graduates with a bachelor’s
degree with honours (or equivalent achievement).
in tackling and solving problems, and act
autonomously in planning and implementing Masters degrees are often distinguished from
tasks at a professional or equivalent level other qualifications at this framework level
 continue to advance their knowledge and (for example, advanced short courses, which
understanding, and to develop new skills often form parts of continuing professional
to a high level. development programmes and lead to
postgraduate certificates and/or postgraduate
diplomas) by an increased intensity, complexity
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and density of study. Master’s degrees, in
comparison to postgraduate certificates and
postgraduate diplomas, typically include planned
intellectual progression that often includes a
synoptic/research or scholarly activity.
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Appendix five: Template for mapping qualifications
to four pillars (Model B & C)
Clinical Practice
Please reference health assessment course and prescribing
Leadership
This may be standalone (not necessarily academic) or a module. It may be an independent study module
where you demonstrated clinical leadership
Education/Facilitation of Learning
E.g. mentorship/teaching module/course
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Appendix six: Frequently asked questions
WHAT IS CREDENTIALING? don’t meet the criteria for credentialing and are
undertaking advanced level practice can apply
Credentialing recognises a nurse’s ability to for the credential on submission of evidence
practise at an advanced level. It is an opportunity demonstrating that the RCN criteria for
for nurses to demonstrate their qualifications, advanced level nursing are met.
expertise and competence in their clinical
practice, their leadership, their education and If you have a question about whether you are
their research. It also enables them to enhance eligible, please email credentialing@rcn.org.uk
and develop their career prospects and to
continue their personal and professional WHAT DO I HAVE TO DO TO GAIN
development. THE CREDENTIAL?
Nurses will need to show that they are
WHO IS ELIGIBLE TO CREDENTIAL? operating at an advanced level of practice by
Any nurse who works at an advanced level of demonstrating evidence and experience in four
practice, has non-medical prescribing rights and areas: clinical practice, leadership, teaching and
has an active registration with the NMC can research. However, clinical practice must be the
apply, and will be successful if they demonstrate main focus.
that they meet our requirements by supplying They will also need to show evidence of a job
the necessary evidence. plan that demonstrates current advanced level
Eligibility is linked solely to your ability to practice and provides evidence of practice in the
demonstrate that you meet our requirements for four areas above. This will need to be verified
qualifications, experience and competence, and by a senior nurse or employer, who will provide
not, for example, your job title. The definition of a clinical reference confirming their clinical
advanced practice set out below should also help competence and showing evidence of CPD.
you identify if you meet the requirements.
WHO ASSESSES WHETHER YOU ARE
The RCN definition is as follows:
ELIGIBLE FOR CREDENTIALING?
“Advanced practice is a level of practice, rather
than a type of practice. Advanced Nurse The RCN will assess credentialing. A team of
Practitioners are educated at Masters Level people who have been involved in developing the
in clinical practice and have been assessed credentialing process will assess the evidence to
as competent in practice using their expert determine whether a nurse has sufficient evidence
clinical knowledge and skills. They have and expertise to gain the credential.
the freedom and authority to act, making Assessors are selected for their knowledge, skills
autonomous decisions in the assessment, and expertise in the subject area of the material
diagnosis and treatment of patients.” submitted for credentialing.
rcn.org.uk/credentialing 23
WHY ARE ONLY NURSES AT HOW MUCH DOES CREDENTIALING
ADVANCED LEVEL ELIGIBLE? COST?
At present credentialing is only open to Inclusion on the database will incur a cost. The
nurses practicing at an advanced level, but if initial assessment will be £275, with renewal
it is successful, the RCN will extend it to other (after three year cycle) being £125. Prices
nursing specialisms. include VAT.
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27
The RCN represents nurses and nursing, promotes
excellence in practice and shapes health policies
RCN CREDENTIALING
rcn.org.uk/credentialing
020 7647 3647
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